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[Diagnostic value of a simple scoring system for the diagnosis and treatment of non-emergency small bowel obstruction].

Authors :
Yu Z
Tomoda K
Sakai Y
Takaki M
Shibata R
Nishida Y
Nomura Y
Tada H
Maeda T
Source :
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology [Nihon Shokakibyo Gakkai Zasshi] 2019; Vol. 116 (5), pp. 412-418.
Publication Year :
2019

Abstract

In order to improve the diagnostic accuracy and treatment strategy for small bowel obstruction, we developed a non-emergency small bowel obstruction scoring system (0-4). We performed a retrospective analysis on 94 patients diagnosed with mechanical small bowel obstruction at our hospital. Anterior adhesion, small bowel feces sign, scoring system, and the usefulness of small bowel feces subtypes were examined. When the non-emergency small bowel obstruction scores 3-4, 99% were non-emergency obstructions, with the exclusion of strangulated small bowel obstruction. On the contrary, when the non-emergency small bowel obstruction scores 0-1, 47.5% were strangulated small bowel obstruction. As the effectiveness of withholding food and fluids (NPO) or short tube is high (about 70%) when small bowel feces are dry, placing a long tube may not be needed.

Details

Language :
Japanese
ISSN :
0446-6586
Volume :
116
Issue :
5
Database :
MEDLINE
Journal :
Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology
Publication Type :
Academic Journal
Accession number :
31080221
Full Text :
https://doi.org/10.11405/nisshoshi.116.412